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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A 60-year-old patient has a 15-year history of type 2 diabetes mellitus, hypertension, and dyslipidemia. The patient, who denies smoking or drinking, complains of early satiety, a full feeling, bloating, and vomiting, for the past 2 months. Current medications include glipizide, metformin, and atorvastatin. The most recent A1C was 9.8%. Liver and renal function test results are within normal limits.
Which of the following would be most appropriate for managing these complaints?

A) Start metoclopramide.
B) Begin intravenous fluids.
C) Discontinue metformin.
D) Start simethicone.

2. A 59-year-old patient with a diagnosis of deep vein thrombosis is anticoagulated with enoxaparin 1 mg/kg every 12 hours and warfarin 5 mg daily. On the third day of therapy, his INR
= 2.2. The patient is symptomatically improved. Which of the following is the most appropriate management of this patient?

A) Continue enoxaparin and hold Warfarin.
B) Continue enoxaparin and warfarin.
C) Discontinue enoxaparin and increase warfarin.
D) Discontinue enoxaparin and continue warfarin.

3. A nurse's aide calls the drug information center, tells the pharmacotherapy specialist that she has found a capsule on her client's countertop and asks if the capsule can be identified. There is an imprint on the capsule. Which reference is the most appropriate to identify this capsule?

A) The Harriet Lane Handbook
B) Red Book
C) Micromedex
D) Martindale: The Complete Drug Book

4. A 35-year-old Woman is diagnosed with pustular psoriasis, which covers 35% of her body. She has tried high-potency topical steroid creams and topical coal tar with ultraviolet B treatments in the past, with no effect. Which of the following is the best therapeutic option for this patient?

A) Calcipotriene
B) Methotrexate
C) Anthralin
D) Halobetasol

5. A 46-year-old man comes into the clinic complaining of facial swelling and difficulty breathing.
Upon examination, it is determined that the patient has facial edema most likely associated with enalapril use. The patient was transferred to the hospital for treatment of the facial edema. It is most appropriate to report this reaction to the:

A) Vaccine Adverse Event Reporting System.
B) FDA.
C) Drug manufacturer.
D) MEDMARX database.

Solutions: